Effects of dry needling on function, hypertonia and quality of life in chronic stroke: a randomized clinical trial

Calvo, Sandra (Universidad de Zaragoza) ; Brandín-de la Cruz, Natalia ; Jiménez-Sánchez, Carolina ; Bravo-Esteban Elisabeth ; Herrero Pablo (Universidad de Zaragoza)

Resumen: Background: Persons with stroke commonly have impairments associated with a reduction in functionality. Motor impairments are the most prevalent, causing an impact on activities of daily life. Objective: The aim of this study was to evaluate the effect of a session of dry needling (DN) applied to the upper extremity muscles on the sensorimotor function, hypertonia, and quality of life of persons with chronic stroke. Methods: A randomized, sham-controlled clinical trial was performed. Participants were randomly assigned into an intervention group that received a single session DN in the biceps brachii, brachialis, flexor digitorum superficialis and profundus, extensor digitorum, adductor pollicis and triceps brachii muscles, or into a control group that received the same treatment but with a sham DN intervention. Treatment outcomes included the Fugl–Meyer Assessment Scale for the upper extremity, the Modified Modified Ashworth Scale, and the EuroQol-5D questionnaire. Measurements were carried out before, immediately after, and 14 days after intervention. Results: Twenty-three persons participated in the study. Significant differences between groups were observed after the intervention in the total wrist–hand motor score (p = 0.023) and sensorimotor score (p = 0.022), for hypertonia in the elbow extensors both after treatment (p = 0.002) and at follow-up (p = 0.018), and in quality of life at follow-up (p = 0.030). Conclusions: A single session of DN improved total wrist–hand motor function and total sensorimotor function in persons with chronic stroke immediately after treatment, as well as quality of life 2 weeks after treatment. Trial registration number: NCT03546517 (ClinicalTrials.gov) © The Author(s) 2021.

Idioma: Inglés

DOI: 10.1177/09645284211056347

Año: 2022

Publicado en: Acupuncture in Medicine 40, 4 (2022), 312-321
ISSN: 0964-5284

Factor impacto JCR: 2.5 (2022)

Categ. JCR: INTEGRATIVE & COMPLEMENTARY MEDICINE rank: 18 / 28 = 0.643 (2022) - Q3 - T2

Factor impacto CITESCORE: 3.9 - Medicine (Q2)

Factor impacto SCIMAGO: 0.468 - Complementary and Alternative Medicine (Q2) - Neurology (clinical) (Q3) - Medicine (miscellaneous) (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)